Organization Active NPI

Carl Hazarian

  • Optician
  • Los Angeles, CA
National Provider Identifier
1710021985
Registry record updated May 17, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
OpticianTaxonomy code 156FX1800X
License
D3128 Issued in CA
Legal business name
CARL HAZARIAN
Practice address
5101 Santa Monica Blvd Ste 6
Los Angeles, CA 90029-2480
Phone
(323) 669-1053
NPI assigned
Feb 19, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 17, 2011

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Carl Hazarian
Title
Registered Optician
Phone
(323) 669-1053

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
OpticianGroup: 193400000X SINGLE SPECIALTY GROUP 156FX1800X D3128 CA Primary

Addresses

Primary practice location

5101 Santa Monica Blvd Ste 6
Los Angeles, CA 90029-2480

Mailing address

2595 E Washington Blvd Ste 105a
Pasadena, CA 91107-1409
Phone (323) 669-1053

Other identifiers 1

IdentifierTypeStateIssuer
DX003128FMedicaidCA

Other names 1

  • LA LUNETTE OPTICAL CENTER Doing business as

National Provider Directory

National Provider Directory

Locations

2595 E Washington Blvd
Ste 105A
Pasadena, CA 91107
Phone (626) 791-8844

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1171843200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1305590400000",
    "number": "1710021985",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2595 E WASHINGTON BLVD STE 105A",
            "city": "PASADENA",
            "state": "CA",
            "postal_code": "911071409",
            "telephone_number": "323-669-1053"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5101 SANTA MONICA BLVD STE 6",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900292480",
            "telephone_number": "323-669-1053"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CARL HAZARIAN",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-19",
        "last_updated": "2011-05-17",
        "status": "A",
        "authorized_official_last_name": "HAZARIAN",
        "authorized_official_first_name": "CARL",
        "authorized_official_title_or_position": "REGISTERED OPTICIAN",
        "authorized_official_telephone_number": "323-669-1053"
    },
    "taxonomies": [
        {
            "code": "156FX1800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Technician/Technologist, Optician",
            "state": "CA",
            "license": "D3128",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "DX003128F",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "LA LUNETTE OPTICAL CENTER",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Los Angeles, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 17, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.